NPIMap

Katherine Fossman, RDN, LD

Individual provider Active NPI Registered Dietitian · Haines, AK

NPI 1275914921 · NPPES record last updated Nov 17, 2022

Key facts

NPI
1275914921
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
101197 (AK)
Practice address
55 Haines Hwy
Box 887
Haines, AK 99827-9800
Phone
(860) 335-3733
NPI assigned
Jun 17, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score
84.85 of 100 (group)
Quality
84.49
Promoting interoperability
83
Improvement activities
40
Cost
79.17

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Kingman Healthcare, Inc Current Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

3801 Santa Rosa Dr
Kingman, AZ 86401
Phone (928) 263-5000

3801 Santa Rosa Dr
Ste 302
Kingman, AZ 86401

Interoperability endpoints

  • Direct secure messaging: fossman.katherine@st.direct.azkrmc.md

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 101197 AK Yes

Addresses

Primary practice location

55 Haines Hwy
Box 887
Haines, AK 99827-9800

Mailing address

PO Box 233
Haines, AK 99827-0233

Other providers in Haines, AK

All providers in Haines, AK · Registered Dietitian in Alaska

Sources for this page

Verify at the official NPI Registry.